Leischer, Gregory Lee
Leischer, Gregory Lee is an individual health care provider with primary practice located at 611 Stevens Dr , Wausau WI 54401-3006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leischer, Gregory Lee can be contacted via phone (715) 848-2020.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2687 | Wisconsin |
Profile Details
NPI number | 1285770065 |
---|---|
LBN Legal business name | Leischer, Gregory Lee |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2007 |
Last updated | Apr 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285770065 | NPPES |
Wisconsin | MEDICAID | 38601100 |
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